Symptomatic carotid stenosis in Eagle syndrome managed with traditional endarterectomy and styloidectomy

Kathryn DiLosa; Joel Harding; Nikunj Donde; Dustin Silverman; Thomas Heafner

doi:10.1016/j.jvscit.2023.101372

Symptomatic carotid stenosis in Eagle syndrome managed with traditional endarterectomy and styloidectomy

J Vasc Surg Cases Innov Tech. 2023 Nov 21;10(1):101372. doi: 10.1016/j.jvscit.2023.101372. eCollection 2024 Feb.

Authors

Kathryn DiLosa¹, Joel Harding¹, Nikunj Donde¹, Dustin Silverman², Thomas Heafner¹

Affiliations

¹ Division of Vascular Surgery, Department of Surgery, University of California Davis, Sacramento, CA.
² Division of Otolaryngology, Department of Surgery, University of California Davis, Sacramento, CA.

Abstract

Eagle syndrome represents an anatomic variant present in 4% of the population. It is characterized by an elongated styloid process or ossified stylohyoid ligament with resultant irritation of cervical neurovascular structures. Common manifestations include craniofacial or cervical pain related to compression of the glossopharyngeal nerve. In rare cases, patients can present with a stroke or transient ischemic attack due to associated carotid artery injury. Fewer than 25 prior case reports describe vascular symptoms in the setting of associated carotid artery dissection and, in one case, a pseudoaneurysm. Our case report details the diagnosis and management of symptomatic carotid artery stenosis secondary to vascular Eagle syndrome.

Keywords: Carotid artery; Cerebrovascular disease; Stylocarotid.

Publication types

Case Reports

Grants and funding

T32 HL086350/HL/NHLBI NIH HHS/United States